| June D Roderick, NP | |
|
3355 Lenox Rd Ne, Suite 750, Atlanta, GA 30326-1394 | |
| (888) 393-9616 | |
| (258) 366-9616 |
| Full Name | June D Roderick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 3355 Lenox Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356669519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11353 (Ohio) | Primary |
| Entity Name | Curana Health Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538399704 PECOS PAC ID: 4880731355 Enrollment ID: O20091103000048 |
| Entity Name | Ch Mssp Services La Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982285060 PECOS PAC ID: 6901206416 Enrollment ID: O20210621000338 |
| Mailing Address | Practice Location Address |
|---|---|
| June D Roderick, NP 1509 Dulles Dr, Lafayette, LA 70506-3718 Ph: (888) 393-9616 | June D Roderick, NP 3355 Lenox Rd Ne, Suite 750, Atlanta, GA 30326-1394 Ph: (888) 393-9616 |
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